Priano Lorenzo, Esposti Daniele, Esposti Roberto, Castagna Giovanna, De Medici Clotilde, Fraschini Franco, Gasco Maria Rosa, Mauro Alessandro
Divisione di Neurologia e Neuroriabilitazione, Osp. S. Giuseppe, IRCCS Istituto Auxologico Italiano, Piancavallo (VB), Italy.
J Nanosci Nanotechnol. 2007 Oct;7(10):3596-601. doi: 10.1166/jnn.2007.809.
melatonin (MT) is a hormone produced by the pineal gland at night, involved in the regulation of circadian rhythms. For clinical purposes, exogenous MT administration should mimic the typical nocturnal endogenous MT levels, but its pharmacokinetics is not favourable due to short half-life of elimination. Aim of this study is to examine pharmacokinetics of MT incorporated in solid lipid nanoparticles (SLN), administered by oral and transdermal route. SLN peculiarity consists in the possibility of acting as a reservoir, permitting a constant and prolonged release of the drugs included. In 7 healthy subjects SLN incorporating MT 3 mg (MT-SLN-O) were orally administered at 8.30 a.m. MT 3 mg in standard formulation (MT-S) was then administered to the same subjects after one week at 8.30 a.m. as controls. In 10 healthy subjects SLN incorporating MT were administered transdermally (MT-SLN-TD) by the application of a patch at 8.30 a.m. for 24 hours. Compared to MT-S, Tmax after MT-SLN-O administration resulted delayed of about 20 minutes, while mean AUC and mean half life of elimination was significantly higher (respectively 169944.7 +/- 64954.4 pg/ml x hour vs. 85148.4 +/- 50642.6 pg/ml x hour, p = 0.018 and 93.1 +/- 37.1 min vs. 48.2 +/- 8.9 min, p = 0.009). MT absorption and elimination after MT-SLN-TD demonstrated to be slow (mean half life of absorption: 5.3 +/- 1.3 hours; mean half life of elimination: 24.6 +/- 12.0 hours), so MT plasma levels above 50 pg/ml were maintained for at least 24 hours. This study demonstrates a significant absorption of MT incorporated in SLN, with detectable plasma level achieved for several hours in particular after transdermal administration. As dosages and concentrations of drugs included in SLN can be varied, different plasma level profile could be obtained, so disclosing new possibilities for sustained delivery systems.
褪黑素(MT)是松果体在夜间分泌的一种激素,参与昼夜节律的调节。在临床应用中,外源性MT给药应模拟典型的夜间内源性MT水平,但由于其消除半衰期短,其药代动力学并不理想。本研究的目的是研究载于固体脂质纳米粒(SLN)中的MT经口服和透皮给药后的药代动力学。SLN的独特之处在于它有可能作为一个储库,使所载药物能够持续、长效释放。在7名健康受试者中,于上午8:30口服含3mg MT的SLN(MT-SLN-O)。一周后的上午8:30,给同一受试者服用标准制剂的3mg MT(MT-S)作为对照。在10名健康受试者中,于上午8:30通过贴剂透皮给予含MT的SLN(MT-SLN-TD),持续24小时。与MT-S相比,MT-SLN-O给药后的Tmax延迟约20分钟,而平均AUC和平均消除半衰期显著更高(分别为169944.7±64954.4 pg/ml·小时 vs. 85148.4±50642.6 pg/ml·小时,p = 0.018;93.1±37.1分钟 vs. 48.2±8.9分钟,p = 0.009)。MT-SLN-TD给药后MT的吸收和消除较慢(平均吸收半衰期:5.3±1.3小时;平均消除半衰期:24.6±12.0小时),因此MT血浆水平高于50 pg/ml至少维持24小时。本研究表明,载于SLN中的MT有显著吸收,尤其是透皮给药后,可在数小时内检测到血浆水平。由于SLN中所载药物的剂量和浓度可以变化,因此可以获得不同的血浆水平曲线,从而为持续给药系统揭示了新的可能性。